| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6,932.50 | $6,932.50 | $6,932.50 | |
Cigna
| Professional | $15,700.00 | $15,700.00 | $16,956.00 | |
Martin's Point
| Professional | $6,932.50 | $6,932.50 | $6,932.50 | |
Priority Health
| Professional | $15,700.00 | $15,700.00 | $16,956.00 | |
United
| Professional | $540.54 | $540.54 | $540.54 |